Sampling of Engagements

MCC’s success is illustrated through the following vignettes:

• Population Health ROI: A large midwest PCA (Primary Care Association) needs a “roadmap” to measure Return-on-Investment for a large HCCN (Health Center Controlled Network.) MCC develops an adaptable ROI Matrix and companion document to measure benefits and calculate ROI.
• Advanced Analytics: MCC is engaged by a San Diego-based CHC to apply predictive analytics to adherence with diabetics. MCC extracts, transfers, and loads data that are prepared and mined. Algorithms are deployed, and the results presented to clinical staff. New approaches are implemented to enhance adherence, improve clinical outcomes, and reduce costs. Results are presented at a national conference. 
• Network Development: A contracted laboratory provider provides a 30-day notice of insolvency.  MCC is engaged and develops, distributes, and collects completed RFPs (Returns-for-Proposal) to identify a replacement laboratory. Site visits are completed with finalists, and a new statewide contract was negotiated and signed with a premiere laboratory vendor 3 weeks later!
• Network Development: A Los Angeles area medical group representing 80,000 covered lives becomes insolvent and ceases operation. Their HMO patients must select another medical group and re-establish with another OBGyn. MCC spearheads the organization of a new OBGyn specialty group, negotiates reimbursement rates, and implements the solution to avert disaster.
• Claims Recovery: On behalf of a client that owns a chain of ambulatory surgery centers in California, MCC negotiates the recovery and collection of over $1,500,000 in outstanding claims from a large HMO and another $300,000 in claims from a multispecialty medical group during a six-month engagement.
• Risk Assessment/Training: MCC is engaged by a State Corrections Department to analyze statewide provider contracts,  internal policies, processes, and personnel. Based on the results, competency training for health care contracting staff is completed with a participant satisfaction rating of 96%, “excellent.”
• Strategy/Grant Writing: MCC is engaged by a community health center in rural Louisiana to strategically develop and write a 330 New Access Point grant. The project is successfully completed and funded. The facility operates as a “safety net” for access to primary care in the area.
• Training: A Federal agency determines there is a need to provide an intensive, two-part educational series on managed care to its field office staff in 10 locations around the United States. MCC is engaged to develop the curriculum, materials and conduct the educational training. The entire project was completed over the course of 9 months with a 98% rating of “excellent.”
• Billing and Collections Assessment: MCC is engaged after a DME (Durable Medical Equipment) company suddenly assumes the risk of 300,000 capitated patients. MCC assesses, recommends, and bolsters its billing and collections system. The project is completed within a week and changes are made to avert potential financial ruin.
• Risk Analysis: MCC is contacted by an east coast Primary Care Association representing nine community health centers. MCC analyzes the contractual risk offering by an upstart HMO. MCC is engaged, applies analytical modeling that determines the actuarial model to be unstable. The PCA does not recommend a contract with the HMO, and a potentially catastrophic situation was averted.